CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ascension River District Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $103
  • Cash Discount Price: $424
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ascension River District Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $424. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.66x the Medicare baseline. Located in 4100 River Rd, East China, MI.
Cash / Self-Pay
$424

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $424 (270%)
Insurance Median: $103 (66%)
Cash: $424 (270% of Medicare)
Ins. Median: $103 (66% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicare (plans) $94 - $104 60%
Amerihealth Vip Care $98 62%
Aetna $99 63%
Great Lakes Health Plan $99 63%
Harbor Advantage Hmo $99 63%
Tricare $99 63%
Veterans Choice $99 63%
Humana $100 64%
Total Health Care $100 64%
Ahlic $103 66%
Hap Hmo $103 66%
Hap Preferred $103 66%
Meridian Wellcare $104 66%
Molina Advantage $104 66%
Molina Health Link $104 66%
Bcccp $117 75%
Ambetter / Centene $124 79%
Molina Market Place $124 79%
Smarthealth $138 88%
Priority Hmo $141 90%
Aaa-Auto Insurance $188 120%
Phcs Pos $209 133%
Phcs Ppo $209 133%
Ppom $491 - $757 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4100 River Rd, East China, MI 48054
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals